maybe a simple numbers game...a male has to be near death to see the
doctor...thus maybe as girls get older and all factors removed like UTIs, ear
infections etc...that what it boils down to in care seeking...in other words, it
may even be interesting that while in developing poor nations where females have
less access to health care etc., that even then, males will seldom go and thus
even the depressed female access may still peg them above males...
thus this data has to be standardized by underlying population size/age specific
prescribing rates in order to compare...fully...in short, in a society where
there are 75% females in age group 15-60 lets say, then it is likely more
females will be prescribed and thus the underlying gender makeup of the studied
population is key...
I am just speculating.
Best,
Paul E. Alexander
----- Original Message ----
From: Maskrey Neal <[log in to unmask]>
To: [log in to unmask]
Sent: Tue, February 8, 2011 11:22:30 AM
Subject: Re: Antibiotic prescribing patterns in boys and girls at different ages
Hi Anthony
Interesting indeed.
What is the denominator in the data you refer to? Is it prescriptions per
population or, for example, prescription per consultation for RTIs? One
explanation might be a differential in consulting rates??? When we've looked at
the reduction in antibiotic prescribing in England at the end of the 1990s, the
correlation was with consulting rates. In other words, the prescribing continued
at the same rate but there were fewer consultations - either due to demand going
down or access being more difficult. If, for some reason boys were brought more
frequently than girls......and then the consultation behaviour changed in
teenage years???
Antibiotic prescribing rates over here are now back where they were in the early
1990s - so the graph has a U-shaped curve - but I've not seen analyses as to
whether consulting rates are responsible.
Bw
Neal
Neal Maskrey
National Prescribing Centre
Liverpool UK
-----Original Message-----
From: Evidence based health (EBH) [mailto:[log in to unmask]]
On Behalf Of Anthony Cummins
Sent: 08 February 2011 16:06
To: [log in to unmask]
Subject: Antibiotic prescribing patterns in boys and girls at different ages
Dear colleagues
This is my first email sent to JISCMAIL. I hope that you find this query
interesting and can offer some assistance:
On reviewing published literature on antibiotic prescribing by General
Practitioners (GPs) in boys and girls I have noticed that there is a significant
increased likelihood of boys under age 4 years being prescribed antibiotics more
than girls but that gender pattern is reversed as they get older: teenage girls
are significantly more likely to be prescribved an antibiotic than teenage boys.
I can offer some possible explanatations for this older pattern viz a teenage
girl is more likely to suffer from symptoms of UTI or to attend for
contraception advice, sometimes using an acute respiratory infection as her
"vehicle".
I am at a loss to explain the younger gender difference.
Any suggestions?
Thanks
Anthony Cummins
Dr. Anthony Cummins MB BCh BAO MRCGP
Clinical lecturer/ Academic Research Staff
Department of General Practice &
HRB Centre for Primary Care Research
RCSI Medical School
St. Stephen's Green
Dublin 2
Tel +35314028604
Email [log in to unmask]
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________________________________________
From: Evidence based health (EBH) [[log in to unmask]] On
Behalf Of Ash Paul [[log in to unmask]]
Sent: 07 February 2011 19:38
To: [log in to unmask]
Subject: Re: Helping doctors and patients make sense of statistics
Thanks for this Paul.
Another equally good book well worth reading on a similarly related subject is
one written by Sir Iain Chalmers et al (with a foreward by Ben Goldacre from
this Group)
Testing Treatments: better research for better health care Downloads
The English, Arabic, Chinese and Spanish texts are now available without charge
(see links below) under a Creative Commons Attribution 3.0 Unported
Licence<http://creativecommons.org/licenses/by/3.0/>. If you wish to receive
information about future translations and editions of 'Testing Treatments', send
your contact details to
[log in to unmask]<mailto:[log in to unmask]>.
* Download English version Testing Treatments: better research for better
health care<http://www.jameslindlibrary.org/pdf/testing-treatments.pdf>
* Descargue la versión en español "Cómo se prueban los tratamientos: Una mejor
investigación para una mejor atención de
salud<http://www.jameslindlibrary.org/pdf/testing-treatments-spanish.pdf>", un
aporte de la Organización Panamericana de la Salud (OPS/OMS)
* Download Arabic version Testing Treatments: better research for better
health care<http://ebm-syria.com/book.php>
Download the English Foreword to the Arabic
translation<http://www.jameslindlibrary.org/pdf/testing-treatments-preface-arabic-trans.pdf>
Ash
Dr Ash Paul
Medical Director
NHS Bedfordshire
21 Kimbolton Road
Bedford
MK40 2AW
Tel no: 01234897224
Email: [log in to unmask]<mailto:[log in to unmask]>
________________________________
From: Paul Elias <[log in to unmask]>
To: [log in to unmask]
Sent: Mon, 7 February, 2011 18:20:28
Subject: Helping doctors and patients make sense of statistics
I share in case I did not prior:
Best,
Paul E. Alexander
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